Single or multiple perforations with varying locations as a complication of intestinal Behçet's disease: Report of three cases

Intestinal ulcers in Behçet's disease (BD) tend to cause perforation with significant morbidity. The optimal surgical procedure in such cases is controversial and the postoperative period can be eventful with an unpredictable course. We report three cases of perforations with varying locations...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2005-05, Vol.40 (5), p.599-603
Main Authors: Isik, Burak, Ara, Cengiz, Kirimlioglu, Hale, Sogutlu, Gokhan, Yilmaz, Mehmet, Yilmaz, Sezai, Kirimlioglu, Vedat
Format: Article
Language:English
Subjects:
Adult
Behcet Syndrome - complications
Behçet's disease
Biological and medical sciences
Colonic Diseases - complications
Colonic Diseases - surgery
Female
Humans
Ileal Diseases - complications
Ileal Diseases - surgery
intestinal Behçet's disease
Intestinal Perforation - complications
Intestinal Perforation - surgery
Male
Medical sciences
Middle Aged
perforation
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Ulcer - complications
Ulcer - surgery
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Summary:Intestinal ulcers in Behçet's disease (BD) tend to cause perforation with significant morbidity. The optimal surgical procedure in such cases is controversial and the postoperative period can be eventful with an unpredictable course. We report three cases of perforations with varying locations in three patients with long-standing Behçet's disease. Two patients required two and one patient required four operations. It is emphasized that the clinician must be alert in a patient with BD when abdominal symptoms accompany the clinical picture. As soon as the diagnosis is reached, surgical intervention with limited resection must be performed. Endoscopic examination and careful medication play major roles in the follow-up.
ISSN:0036-5521
1502-7708
DOI:10.1080/00365520510012127